The Application of a Mental Practice Protocol in the Acute Inpatient Rehabilitation Setting

Stroke Clinical Trial

Official title:

The Application of a Mental Practice Protocol to Increase the Functional Recovery of the Hemiparetic Upper Extremity in the Acute Inpatient Rehabilitation Setting

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04927728
• Other study ID #: AdventistHC
• Status: Completed
• Phase: N/A
• Start date: January 28, 2019
• Est. completion date: November 25, 2020

Study information

• Verified date: June 2021
• Source: Adventist HealthCare
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this randomized controlled trial is to compare the effect of audio-guided mental practice (MP) and video-guided MP on the impairment and functional abilities of upper extremity (UE) hemiparesis following a stroke. Participants are recruited from Adventist Healthcare Rehabilitation Hospital. All participants must be less than one-month post-stroke with moderate UE hemiparesis. Eligible participants are randomly assigned to an experimental group, (MP or repetitive-task practice (RTP)), or the control group.

The MP groups will perform either audio-guided MP or video-guided MP, five days a week, with 20 repetitions of the following tasks: wiping a table, picking up a cup, brushing hair, and turning the pages of a book. The RTP group physically performed the same tasks. The control group received traditional stroke rehabilitation.

The investigators hypothesize that video MP will have greater improvements in UE impairments and functional abilities than audio MP, RTP, and/or traditional therapy.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 18
• Est. completion date: November 25, 2020
• Est. primary completion date: November 25, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• Primary diagnosis of stroke

• Less than one-month post-stroke

• Hemiparesis of one upper extremity

• Moderate upper extremity impairment

Exclusion Criteria:

• History of prior stroke

• Comorbidities (severe neurological, orthopedic, rheumatoid, or cardiac impairments)

• Severe spasticity

• Severe cognitive impairments

• Inability to perform mental imagery

• Severe aphasia based on speech therapist evaluation

• Low English proficiency

• Severe pain

Related Conditions & MeSH terms

• Paresis
• Stroke
• Upper Extremity Paresis

Intervention

Other:
• Mental Practice
MP is the cognitive rehearsal of a motor task without physical movement, with the intent to improve motor performance. Mental practice can be completed via audio or video recording, visual prompts, written instructions, self-initiated or recorded pictures.
• Repetitive-Task Practice
Repetitive-Task Practice is the repetitive rehearsal of a motor task with the intent to improve motor performance.
• Traditional Therapy
Traditional therapy includes traditional interventions completed in occupational therapy for patients following a stroke. These interventions include but are not limited to, range of motion, weight-bearing, massage, modalities, self-care training, and transfer training.

Locations

Country	Name	City	State
United States	Adventist Healthcare Rehabilitation	Rockville	Maryland

Sponsors (2)

Lead Sponsor	Collaborator
Adventist HealthCare	Texas Woman's University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Fugl Meyer Assessment-Upper Extremity Portion (FMA-UE) (Measuring pre/post intervention change)	The Fugl Meyer Assessment-upper extremity(FMA-UE) portion will be administered to measure the impairment of the upper extremity. Upper extremity movements are rated on 3-point ordinal scale where 0= unable to perform, 1= performs partially, 2= performs fully. Cumulative scores range from 0-66 where a lower score indicates increased impairment.	Within 3 days of admission and within 3 days prior to discharge
Primary	Wolf Motor Function Test (WMFT) (Measuring pre/post intervention change)	The Wolf Motor Function Test (WMFT) is used to measure the functional abilities of the UE. 15 tasks are performed including six timed joint-segment movements and eight timed integrative functional movements. Tasks are rated on a 6-point ordinal scale where 0= does not attempt to 5=movement appears to be normal. Timed and functional ability scores are calculated to indicate the functional abilities of the UE.	Within 3 days of admission and within 3 days prior to discharge